Individual provider Active NPI

Samar S Habl, M.D.

  • Psychiatry Physician
  • Stockbridge, MA
National Provider Identifier
1891801742
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
224897 Issued in MA
Practice address
Austen Riggs Center
25 Main Street
Stockbridge, MA 01262
Phone
(413) 931-5237
NPI assigned
Aug 22, 2006
Last updated
Oct 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 224897 MA Primary

Addresses

Primary practice location

Austen Riggs Center
25 Main Street
Stockbridge, MA 01262

Mailing address

260 Pittsfield Rd Unit D4
Lenox, MA 01240-2137
Phone (413) 931-5237

Other identifiers 1

IdentifierTypeStateIssuer
260002366MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 15, 2023 through Dec 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
224897MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Psychiatry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1891801742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PITTSFIELD RD UNIT D4",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402137",
            "telephone_number": "413-931-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AUSTEN RIGGS CENTER",
            "address_2": "25 MAIN STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "01262",
            "telephone_number": "413-931-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABL",
        "first_name": "SAMAR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "224897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260002366",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, MA

Sources for this page

Verify at the official NPI Registry.